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Ayngi Montgomery, MEDMDIVLPCNCC
Professional Counselor in Catoosa, Oklahoma
NPI 1659592277

Ayngi Montgomery is a Professional Counselor based in Tulsa, OK and is specialized in Professional. Ayngi Montgomery practices in Catoosa, OK and has the professional credentials of MEDMDIVLPCNCC. The NPI Number for Ayngi Montgomery is 1659592277 and holds a License No. 4100 (Oklahoma).

The current practice location address for Ayngi Montgomery is 1305 N Highway 66, Catoosa, OK and can be reached out via phone at 918-852-9644.

Location: 1305 N Highway 66, Catoosa, OK, 74170-0082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659592277
Provider Name
Ayngi Montgomery
Credential
MEDMDIVLPCNCC
Provider Entity Type
Individual
Gender
Female
Address
1305 N Highway 66, Catoosa, OK, 74170-0082
Phone Number
918-852-9644
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200266240B 05 OK
institution
Provider Business Practice Location Address Details
Address
1305 N Highway 66
City
Catoosa
State
Oklahoma
Zip
74015-2460
Phone Number
918-852-9644
Fax Number
person
Provider Business Mailing Address Details
Address
1305 N Highway 66
City
Catoosa
State
Oklahoma
Zip
74015-2460
Phone Number
918-852-9644
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4100 (Oklahoma)
Definition
Definition to come...
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